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C <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Ad em ize ��,ss .�/� <br />Garage Size <br />VALUATI ON (7'`,� <br />Number of Stories � <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/� <br />Type of Construction �� <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Req'd Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: � � Date: �p <br />� <br />Comments: '� p �Z 0 �� � �S� <br />IG L <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />��T# �1�o�-��u <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukiiteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: �f �� � � <br />, �� <br />PUBLIC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: <br />Comments: <br />Fire Sprinkler Required by Fire Dept? Yes_ No <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />System Dev. Fee? Traffic Mitiqation Fee? <br />Zs� <br />